DR. BLAKE KENT WILLIAMS (NPI# 1164764684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164764684 |
| Entity Type | Individual |
| Full Name | DR. BLAKE KENT WILLIAMS |
| Credential | M.D., CAQSM |
| Practice Address |
780 Main St Ste 102 Great Barrington MA 01230 |
| Mailing Address |
8414 Naab Rd Ste 120 Indianapolis IN 46260-1972 |
| Practice Telephone | 4135288643 |
| Mailing Telephone | 3173387584 |
| Mailing Fax Number | 3173387494 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2018-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 272651 | MA | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
272651 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363438 | Blake Mccullough Williams | Nurse Practitioner | 1017 N Pine St, Deridder, LA 70634-2817 | 2020-07-06 |
| 1245624626 | Blake C Williams | Nurse Practitioner | 1215 Pleasant St Ste 506, Des Moines, IA 50309-1418 | 2015-03-24 |
| 1942619275 | Blake Thomas Williams | Optometrist | 2394 H G Mosley Pkwy, Longview, TX 75604-3661 | 2014-08-12 |
| 1326319419 | Blake Reed Williams | Counselor | 10593 Rockview Ct, Auburn, CA 95602 | 2012-01-20 |
| 1386814267 | Blake Aaron Williams | Chiropractor | 1211 12th Ave Se Ste 102, Dyersville, IA 52040-2412 | 2008-03-06 |
| 1932747342 | Blake Williams | Pharmacist | 4910 I 55 N, Jackson, MS 39211-5401 | 2019-12-16 |
| 1497101018 | Blake Williams | Ophthalmology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1447 | 2016-05-12 |
| 1194082057 | Blake Anthony Williams | Dermatology | 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712-5697 | 2012-04-17 |
| Street Address |
780 MAIN ST STE 102 |
| City | GREAT BARRINGTON |
| State | MA |
| Zip Code | 01230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407477151 | Akwaaba Care LLC | Home Health | 826 South Sandisfield Rd, New Marlborough, MA 01230 | 2020-05-05 |
| 1649783531 | Caren Ann Mercer | Developmental Therapist | 237 Monument Valley Rd, Great Barrington, MA 01230 | 2017-11-14 |
| 1881992063 | Susanne R Wallace | Specialist | 442 Stockbridge Road, Great Barrington, MA 01230 | 2011-03-11 |
| 1265756498 | Joanne D. Lacey | Pharmacist | 362 Main St., Great Barrington, MA 01230 | 2010-03-17 |
| 1750524401 | Sara Anne Stewart | Developmental Therapist | 343 Main St., Suite 101, Great Barrington, MA 01230 | 2009-04-10 |
| 1922267335 | Eagleton School Inc | Residential Treatment Facility, Emotionally Disturbed Children | 446 Monterey Road, Great Barrington, MA 01230 | 2008-06-02 |
| 1144414533 | Berkshire Mountain Chiropractic, P.C. | Chiropractor | 1 Newsboy Monument Lane, Great Barrington, MA 01230 | 2007-08-29 |
| 1487876868 | Sharon Hartunian | Social Worker | Bard College At Simon's Rock, 84 Alford Road, Great Barrington, MA 01230 | 2007-05-03 |
| 1821219494 | Peter Stanton | Dietitian, Registered | The Nutrition Center, 94 Main Street, Great Barrington, MA 01230 | 2007-05-01 |
| 1114040870 | Susan B. Lord | Family Medicine | 33 Rossetter St, Suite 2, Great Barrington, MA 01230 | 2007-04-09 |
| Find all providers in zip 01230 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114040870 | Susan B. Lord | Family Medicine | 33 Rossetter St, Suite 2, Great Barrington, MA 01230 | 2007-04-09 |
| 1104824804 | Susan N Thompson | Family Medicine | 63 State Rd, Great Barrington, MA 01230-1223 | 2005-07-07 |
| 1609426584 | Denise Marie Kincaid | Family Medicine | 780 Main St, Great Barrington, MA 01230-2148 | 2019-09-12 |
| 1093127656 | Claire A Horth | Family Medicine | 444 Stockbridge Road, Great Barrington, MA 01230 | 2014-05-29 |
| 1841364403 | Barrington Family Medicine P.C. | Family Medicine | 63 State Rd, Great Barrington, MA 01230-1223 | 2006-11-17 |
| 1124067111 | Lisa B Nelson | Family Medicine | 444 Stockbridge Road, Great Barrington, MA 01230 | 2006-06-05 |
| 1952358749 | Stephen A Alsdorf | Family Medicine | 444 Stockbridge Road, Great Barrington, MA 01230 | 2006-05-28 |
| 1831170836 | Lara Setti | Family Medicine | 444 Stockbridge Rd, Great Barrington, MA 01230-1295 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966806 | Eliana Decastro Cuellar | Family Medicine | 1030 President Ave Ste 1001, Fall River, MA 02720-5923 | 2020-09-12 |
| 1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
| 1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
| 1588290324 | Lighthouse Primary Care PC | Family Medicine | 315 Main St Ste 101, North Reading, MA 01864-1326 | 2020-03-12 |
| 1730714106 | Berkshire Whole Health PC | Family Medicine | 8 Pine St, Stockbridge, MA 01262-9706 | 2020-03-06 |
| 1578100889 | Kelly Ramappa | Family Medicine | 96 Temple St, West Newton, MA 02465-2307 | 2019-12-05 |
| 1295372787 | Julie A Gil | Family Medicine | 114b Lelandville Rd, Charlton, MA 01507-6714 | 2019-12-04 |
| 1154962942 | Molly Rose Lodigiani | Family Medicine | 275 Cypress St Apt 105, Brookline, MA 02445-6774 | 2019-10-02 |
| 1699316539 | Luisa Alejandra Centeno Silva | Family Medicine | 4785 Washington St # 2, West Roxbury, MA 02132-2113 | 2019-10-02 |
| 1609427962 | Jessica Blanchard | Family Medicine | 100 Leominster Rd, Sterling, MA 01564-2156 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BARRINGTON |
| Zip Code | 01230 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.